Operating Room Circulating RN (4x10s)

Registered Nurse

The Registered Nurse position is a licensed staff nurse and functions at the competent stage. The RN position is responsible for providing professional nursing care to a diverse patient population, conducting nursing assessments, assisting with exams and treatment, patient education, and maintenance of medical records. The RN position provides direct patient care effectively and efficiently which may include patients with varied and complex needs. This position communicates and collaborates with the physicians and interprofessional health care team to facilitate, coordinate, and maintain compassionate, efficient, quality care and achievement of desired treatment outcomes. The RN position demonstrates clinical competence when providing care, using technology, administering medications, performing procedures, and managing emergencies, acting as a patient and family advocate to monitor and maintain patient rights. This position assumes leadership roles with progressive responsibility including but not limited to participating in or leading unit and shared governance initiatives, serving as preceptor to students or new employees, and possibly contributing to service line or hospital-wide initiatives in partnership with management.

Our Operating Rooms utilize state-of-the-art surgical technology and robotics to support complex procedures and innovative surgical care, including:

• Epic electronic health record (EHR) charting system
• Intuitive Surgical robotic platforms, including the Da Vinci DV5 (latest generation) supporting robotic procedures in Urology, General Surgery, and Gynecology
• Da Vinci SP (Single Port) robotic system utilized in ENT, Urology, and Colorectal/General Surgery procedures
• Orthopedic robotic surgical systems, including ROSA and MAKO platforms
• Advanced GI and Pulmonary endoscopy technology, including ION robotic bronchoscopy system for minimally invasive lung procedures
• Getinge T-DOC instrument tray tracking system for real-time surgical instrument management and sterilization tracking (similar to CensiTrac)

Responsibilities

• Uses therapeutic communication, which includes active listening and teaching, to establish a relationship with patients, families and interprofessional health care team to collaborate on the plan of care.
• Contributes to teamwork by awareness of overall unit acuity, consistently offering assistance, and responding positively to requests for assistance. Collaborates to foster healthy relationships in the work environment. Seeks guidance from and offers guidance to interprofessional health care team, when appropriate, and applies feedback to improve patient outcomes.
• Implements staff education specific to patient populations and unit processes, coaches and mentors other staff and students. May include preceptorship. Uses peer-to-peer accountability towards improvement of department score for turnover/retention/employee engagement.
• Conducts nursing assessments, assists with exams and treatment, and maintenance of medical records. Practices in a manner that is congruent with cultural diversity and inclusion principles.
• Develops, updates, and communicates plan of care, including discharge, in partnership with the patient, family and interprofessional health care team, using the nursing process. Prioritizes care based on the patient's needs, abilities, and preferences. Advocates on patient/family's behalf to identify and resolve clinical and ethical concerns, utilizing appropriate resources.
• Provides patient teaching based on learning needs, uses appropriate resources, incorporating planning for care after discharge. Consistently evaluates the patient's comprehension and adapts teaching methods accordingly.
• Helps drive improvement of department score for patient satisfaction, through peer-to-peer accountability to service standards.
• Follows the standards related to regulatory requirements and professional practice. Identifies areas of practice improvements with research-based evidence to achieve core measure and patient safety outcomes, supported by accurate documentation.
• Provides and modifies care to complex patients and coordinates care with the interprofessional team based on evaluation of the patient's condition, supported by accurate documentation. Utilizes clinical judgement, using an evidence-based analytical approach.
• Improves quality and safety scores on the unit-based scorecard, through peer-to-peer accountability, reporting near misses, and collaborating with the interprofessional health care team.
• Displays self-motivation to independently manage time effectively, timely document care, minimize incidental overtime, and prioritize daily tasks. Contributes towards meeting department financial targets through decreasing length of stay, optimizing efficiency and other areas according to department specifications.
• Identifies and presents areas for innovation, efficiency and improvement in patient care or unit operations using evidence-based practice literature. Offers innovative solutions through evidence-based practice/performance improvement projects and shared governance activities.
• Champions new care pathways or service line implementation to improve service to the community. Identifies trends for improvement opportunities or practice changes and supports initiatives. Researches the change and presents options to shared governance and leadership.
• Performs other job-related duties as assigned.

Qualifications

• Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
• Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
• Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
• Strong assessment, organizational and problem-solving skills as evidenced by capacity to prioritize multiple tasks and role components
• Ability to function independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their families
• Uses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act
• Demonstrates proficient time management skills
• Working knowledge of Microsoft Office products

EDUCATION:

• Associate's degree in Nursing is required. Must be willing to get BSN within 2.5 years after hire date.

LICENSE AND CERTIFICATION:

• Current Texas Board of Nursing (or Compact State) RN license; Or Temporary Texas RN License (Permanent TX license within 60 days)
• American Heart Association Basic Life Support (BLS) certification, within 7 days of hire
• Advanced Cardiac Life Support (ACLS) within 60 days
• Certified Perioperative Nurse (CNOR) preferred
• Pediatric Advanced Life Support (PALS) preferred

This position may require the ability to maintain the security and integrity of UT San Antonio and its infrastructure per Texas EO-GA-48.

Required Skills

• Two years of OR nursing experience